HMP Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA06102900 Issued in NJ

Legal business name

HMP MEDICAL GROUP LLC

Practice address

701 State RT 440 Ste 33
Jersey City, NJ 07304-1069

Phone

(201) 435-4558

Fax

(201) 435-4588

NPI assigned

May 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joann Shakarjian, MD

Title

Member/Manager

Phone

(201) 435-4558

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306373436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 STATE RT 440 STE 33",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "201-435-4558",
            "fax_number": "201-435-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STATE RT 440 STE 33",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "201-435-4558",
            "fax_number": "201-435-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMP MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAKARJIAN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "201-435-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06102900",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06102900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.